美国医学协会指南第六版 2024 年与 2008 年对上臂功能障碍评定过程的比较分析：对利益相关者的影响。
Comparative Analysis of Upper Limb Impairment Rating Processes in the American Medical Association Guides Sixth Edition 2024 Versus 2008: Impact on Stakeholders.
机构信息
From the Department of Orthopaedics, University of Kansas School of Medicine Wichita, Kansas (J.M.M.); International Academy of Independent Medical Evaluators, Vancouver, Washington (B.G.); CNOS Occupational Medicine, Dakota Dunes, South Dakota (D.W.M.); and Rocky Mountain Center for Occupational and Environmental Health, University of Utah, Weber State University, Utah (K.T.H., M.S.T.).
出版信息
J Occup Environ Med. 2024 Oct 1;66(10):834-838. doi: 10.1097/JOM.0000000000003186. Epub 2024 Jul 4.
OBJECTIVES
The aims of the study are to evaluate how upper limb impairment ratings are affected by updates to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) Sixth Edition 2024 compared with the AMA Guides Sixth Edition 2008 and to investigate potential correlations with judicial, legislative, and economic factors.
METHODS
Two expert evaluators reviewed 31 upper limb clinical vignettes from the 2008 and 2024 versions. The impairment ratings for each version were compared.
RESULTS
After following the impairment ratings steps in each version, the results for 2024 showed no significant differences when compared with the impairment ratings generated using 2008 methods (Cohen's kappa = 1.00).
CONCLUSIONS
The updated AMA Guides Sixth Edition 2024 with improved, transparent processes and enhanced diagnosis-based impairment tables provides efficiency while retaining the accuracy, validity, and reliability of past versions of the AMA Guides .
目的
本研究旨在评估与 AMA 指南第六版 2008 版相比，2024 年 AMA 指南更新版对上肢损伤程度评定的影响，并探讨其与司法、立法和经济因素的潜在相关性。
方法
两名专家评估员审查了 2008 年和 2024 年版的 31 个上肢临床病例。比较了每个版本的损伤程度评定结果。
结果
按照每个版本的损伤程度评定步骤进行操作后，2024 年的结果与使用 2008 年方法生成的损伤程度评定结果无显著差异（Cohen's kappa = 1.00）。
结论
经过改进的、透明的流程和增强的基于诊断的损伤表的更新版 AMA 指南第六版 2024 提高了效率，同时保留了 AMA 指南过去版本的准确性、有效性和可靠性。
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